Organization Active NPI

Highlands Rehabilitation and Healthcare LLC

  • Skilled Nursing Facility
  • Laporte, PA
National Provider Identifier
1215796404
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HIGHLANDS REHABILITATION AND HEALTHCARE LLC
Practice address
918 Main St
Laporte, PA 18626-7007
Phone
(570) 946-7700
NPI assigned
Mar 18, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Efraim Klein
Title
Authorized Official
Phone
(570) 946-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

918 Main St
Laporte, PA 18626-7007

Mailing address

575 Route 70
Brick, NJ 08723-4042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240531001889 PA Part A Provider - Skilled Nursing Facility 4981046232 Practice locations: Laporte, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215796404. Details of each certification follow.

Skilled nursing facility certification: CCN 395683

Legal name
HIGHLANDS REHABILITATION AND HEALTHCARE LLC
Doing business as
HIGHLANDS REHABILITATION AND HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 16, 1985
Last certification
Jan 16, 2025
Beds
120
Ownership / control type
Corporation
Organization structure
LLC
Enrollment address
918 Main St
Laporte, PA 18626-7007
Nursing home name
HIGHLANDS REHABILITATION AND HEALTHCARE
Affiliated entity
CENTURY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Highlands Rehabilitation and HealthcareCCN 395683 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 16, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120105.3 residents per day on average
Chain
Century Healthcare9 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 32

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Brick, NJ LLC Adp of the SNF Jun 26, 2025
Century V TBD Holdco LLC Organization, Brick, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2024 100%
Organization, Toms River, NJ Indirect Ownership Interest May 1, 2023 4.99%
Organization, Toms River, NJ Indirect Ownership Interest May 1, 2023 4.99%
Individual Indirect Ownership Interest Apr 1, 2024 4.99%
Shai Berdugo Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2024 60.55%
Operational/Managerial Control Apr 1, 2025
Managing Control - Governing BodyManager of the Manager Apr 1, 2025
Trustee of the SNF Apr 1, 2024
Adp of the SNF Apr 1, 2025
Organization, Toms River, NJ Indirect Ownership Interest Apr 1, 2024 4.99%
Individual Indirect Ownership Interest Apr 1, 2024 1.5%
Organization, Toms River, NJ Indirect Ownership Interest Apr 1, 2024 2.91%
Omega Healthcare Investors Inc Organization, Hunt Valley, MD Corporation Adp of the SNF Apr 1, 2024
Individual Indirect Ownership Interest Apr 1, 2024 1%
Organization, Hunt Valley, MD Real estate investment trust (REIT) Adp of the SNF Apr 1, 2024
Gina Berdugo Individual Trustee of the SNF Apr 1, 2024
Ohi Asset (PA), LP Organization, Hunt Valley, MD Owned by another organization or individual 5% Or Greater Security Interest Apr 1, 2024
Individual Indirect Ownership Interest Apr 1, 2024 11.5%
Abigail Potts Individual Operational/Managerial Control Apr 23, 2024
Adp of the SNF Jun 26, 2025
Individual Trustee of the SNF Apr 1, 2024
Individual Indirect Ownership Interest Apr 1, 2024 1%
Century V Pennsylvania Holdco LLC Organization, Brick, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2024 100%
Kulanu Oc Trust Organization, Lincolnwood, IL 5% Or Greater Indirect Ownership Interest Apr 1, 2024 5%
Organization, Toms River, NJ LLC Adp of the SNF Apr 1, 2024
Individual Indirect Ownership Interest Apr 1, 2024 1.5%
Brandon M Roscoe Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 26, 2025
Organization, Toms River, NJ Indirect Ownership Interest May 1, 2023 4.99%
Individual Trustee of the SNF Apr 1, 2024
Organization, Toms River, NJ LLC Adp of the SNF Mar 4, 2025
Organization, Toms River, NJ LLC, Owned by another organization or individual Direct Ownership Interest Mar 4, 2025 100%
Individual Trustee of the SNF Apr 1, 2024
Individual Indirect Ownership Interest Apr 1, 2024 1.5%
Individual Trustee of the SNF Apr 1, 2024
Efraim Klein Individual 5% Or Greater Indirect Ownership InterestCeo Apr 1, 2024 10%
Corporate OfficerCeo Apr 1, 2024
Individual Trustee of the SNF Apr 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1215796404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 MAIN ST",
            "city": "LAPORTE",
            "state": "PA",
            "postal_code": "186267007",
            "telephone_number": "570-946-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS REHABILITATION AND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "EFRAIM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "570-946-7700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laporte, PA

Sources for this page

Verify at the official NPI Registry.